QFA-31129-24558

3 vaccinations 7 coded responses 38 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 12-15
ZIP prefix: 758 / TX
Registered: 2021-07-31

Relationship: Child or adolescent in my care
Guardian: ZGU-43495-81430
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1636866 (opens in a new window)	high	11 / 11	—	4 of 5 VAERS symptoms	same dose (1)	TX matches	2021-07-30 / 2021-07-30 / 2021-08-26 received the same day as the last call	case 953039

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-30
Dose 1 — Pfizer-BioNTech
2021-07-31
Registered in v-safe
2021-07-31
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-04
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Itching · None

Adult check-in
2021-08-06
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-13
Survey response — day 14, dose 1, dependent
MedDRA: Pruritus, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash and itching all over body. · Healthcare visit (other): Doctor visit scheduled

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — day 14, dose 1, dependent
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Survey response — day 21, dose 1, dependent
MedDRA: Cough, Oropharyngeal pain, Rash, Secretion discharge, Tonsillar hypertrophy, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen tonsil, rash, sore throat, excess mucus, cough. · Healthcare visit (other): Visit scheduled

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — day 21, dose 1, dependent
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Call 1 — Left Voicemail
2021-08-22
Call 2 — Left Voicemail
2021-08-24
Call 1 — Left Voicemail
2021-08-26
Call successful
Completed over the phone
2021-08-27
Health check-in — day 28, dose 1, dependent
Feeling: Poor

Adult check-in
2021-09-03
Health check-in — day 35, dose 1, dependent
Feeling: Fair

Adult check-in
2021-09-09
Dose 2 — Pfizer-BioNTech
2021-09-10
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do their normal daily activities

Free text: Pain when touched

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-16
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-09-23
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-09-30
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-10-07
Survey response — day 28, dose 2, dependent
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-09
Survey response — 3 months, dose 2, dependent
MedDRA: Cough, Oropharyngeal pain, Rash, Rhinorrhoea — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rash all over body, throat hurt, runny nose, cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — 3 months, dose 2, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-08-22
Dose 3 — Pfizer-BioNTech
2022-08-23
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-08-24
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-08-25
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-08-26
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-08-27
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-08-28
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-08-29
Health check-in — day 7, dose 3, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-05
Survey response — day 14, dose 3, dependent
MedDRA: Fatigue, Feeling cold, Headache, Hot flush, Nausea, Oropharyngeal pain, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: She had hot & cold flashes, body aches, sore throat, extreme fatigue, nausea, and headache. The symptoms lasted for about 3 days, and have now gone away.

MedDRA releases: 2024-11 · check-in free text available
2022-09-12
Health check-in — day 21, dose 3, dependent
Feeling: Good

Adult check-in
2022-09-19
Survey response — day 28, dose 3, dependent
MedDRA: Crying, Emotional distress — Feeling: Fair · Be unable to do your normal daily activities

Free text: Emotional distress- uncontrollable crying over small things.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-11-21
Health check-in — 3 months, dose 3, dependent
Feeling: Fair

Adult check-in
2023-02-20
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-30	Pfizer-BioNTech	No
2	2021-09-09	Pfizer-BioNTech	No
3	2022-08-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-13	Successful	Completed over the phone
2021-08-20	Successful 2021-08-26	Completed over the phone
2021-12-09	Successful 2021-12-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — day 14, dose 1, dependent

2021-08-13

Symptoms: Rash and itching all over body.

Healthcare visit (other): Doctor visit scheduled

Release 9 — day 21, dose 1, dependent

2021-08-20

Symptoms: Swollen tonsil, rash, sore throat, excess mucus, cough.

Healthcare visit (other): Visit scheduled

Release 9 — days 1–6 daily, dose 2, dependent

2021-09-10

Systemic reaction (other): Pain when touched

Release 10 — day 28, dose 2, dependent

2021-10-07

Symptoms: Cough

Release 10 — 3 months, dose 2, dependent

2021-12-09

Symptoms: Rash all over body, throat hurt, runny nose, cough

Release 12 — day 14, dose 3, dependent

2022-09-05

Symptoms: She had hot & cold flashes, body aches, sore throat, extreme fatigue, nausea, and headache. The symptoms lasted for about 3 days, and have now gone away.

Release 12 — day 28, dose 3, dependent

2022-09-19

Symptoms: Emotional distress- uncontrollable crying over small things.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	✓	·	✓
SD	Cough	✓	·	✓
SD	Crying	·	·	✓
SD	Emotional distress	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling cold	·	·	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Pruritus	✓	·	✓
SD	Rash	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	✓	·	✓
SD	Tonsillar hypertrophy	✓	·	✓
SRO	Tenderness	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release